Organization
COWLITZ COUNTY FIRE DISTRICT 5
Active
Other names
Kalama Fire & Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
DEANN SHARP (ADMINISTRATIVE SECRETARY)
(360) 673-2222
Entity
Organization
Contact information
Practice address
382 NE FRONTAGE RD, KALAMA, WA 98625
(360) 673-2222
Mailing address
PO BOX 3510, SILVERDALE, WA 98383-3510
(360) 394-7030
(360) 394-7097
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
08D05
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0109943
L&I AND CRIME VICTIMS
WA
05
—
1029744
—
WA
05
—
275131
—
OR
01
—
590014531
RAILROAD MEDICARE PTAN
WA
01
—
615281300
OWCP
WA
01
—
KA3487
REGENCE
WA
Enumeration date
02/06/2006
Last updated
01/08/2024
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